Emotional health after cancer: How are you doing really?
It struck me after my recent appointment with my oncologist how less focus is put on the emotional aspect of a cancer patient. I go to clinic I am checked in. I am asked in passing how I feel. Mostly I just say I am OK. It’s all routine. I saw my doctor he examined me we discussed the plan of action for my scans blood work. When a cancer patient is asked a how they feel often it’s “medical”. How do you “physically”feel.
Now that I am a “routine” patient at my cancer center no one stops to ask how I am “emotionally”. Don’t get me wrong there are people you can talk to. I feel things become so routine and some days I feel less emotionally “fit” than others. I never like going to the cancer center it stresses me. I am better about it but it is still a source of “depression “ and anxiety for me. When I feel this way I need routine. On my most recent visit I was given an “wrist band” to wear. I felt “branded”. Not only do I have to hold on to the appointment reminder “disc” now I am given an wrist band. It bothered me. So if you are a patient you can easily be identified by the disc and now and a wrist band. That my sound nit picky but I notice everything. If it bothers me it must bother other people as well. What would be good would be a place for patients, all patients, just patients to check in.
Ask us how we are today. Ask how we are coping. Ask care givers who bring in patients how they are coping. They should have “therapy” dogs on patrol. I love dogs and I know that would comfort me. It would take away some of the anxiety I feel each time I go to the cancer center. I am still “new” to my cancer. It’s been 6 months since my cancer diagnosis perhaps that is why I experience so much anxiety. I haven’t “accepted “ my cancer. It isn’t OK I have it. I am working through this.
Asking me how I am is a loaded question. Physically I am OK. Emotionally on some days I can be a bit of a “wreck”. The mortality aspect for me is a source of great distress at times. I realize I need to have perspective. Take one day at a time. Some days I could use a hug because even though I am adult it is scary to go to the cancer center and some days the child in me is more on the surface than the adult me. So I need to reel in the child and let the adult take hold.
Someone suggested mantras. I use one when I feel I need it. I tell myself it will be OK. It’s just a visit it’s just blood work it will be OK. That helps.
I believe all cancer patients have PTSD to some extent. I know I have it. This experience has traumatized me. Feeling sick, having symptoms, the diagnosis, the surgery, the recovery, the appointments, the blood work, the scans, the exams, the probing, going back to work, trying to regain “normalcy”, realizing there is a “new” normal, learning to live life the best you can. It is a bit much. It does get better and has gotten better. So when I am asked how I am doing it is a complex question and the answer on some days is convoluted.
At work people always ask how I am no one knows about my cancer because that is my busy but people know I was “sick”. I answer I am OK and move on because the question for me is complex. I would like to respond “ are you asking how I am physically or emotionally?”. No one has time for that. It takes too long.
My close friend asked me how I was and she and asked, “how are you really?”. In this “instant” and mostly impersonal world I am learning how the simple things, the unspoken words, the touch or hug, are often the most impacting. Cancer is teaching me to pay attention to what is around me, next to me, near by. Life is so precious don’t waste it.
How are you feeling today? How are you really? Do you need a hug? Are you feeling sad today? Is there something I can do for you right now?
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I wish you all the best. Thanks for reaching out to me. 💕💕💕
I too know the anxiety of the future after cancer.
Rare tumor of the brain, craniotomy on Feb 28,
Just finished 6 weeks of daily radiation.
MRI next week to see if small piece of tumor is gone.
Every ache and pain scares me. Walking and Yoga are my go to supports.
I believe God is in control.
Thank you for sharing this, I think it will be very helpful in many situations. “Do you want to be helped, heard, or hugged?”
Thank you for this. Your words so meaningful. Stay well.💕
I am still waiting for a complete picture of my cancer. More tests scheduled. The anxiety is overwhelming and I so appreciated your words. Just started meditation with an online 5 minute deep breathing session. It's something else to try and occupy your mind even for those few minutes. We work so hard keeping our minds in a positive place during these times. Wish you all the best in your recovery.💕💕
I know exactly how you are feeling & your anxiety. It's been 30yrs since I faced the biggest hurdle I have had to deal with. Unless you have had cancer no one fully understands the inner trauma that comes with it. I still have PTSD. Every twinge or pain I immediately think...has it come back? I have ongoing quite serious side affects from the radiation I received. Day to day is a real bloody struggle, but life does goes on & we as survivors must look at it. We are still here on Earth even though we may still go through hell & back sometimes. Stay positive & don't let the no hugs or comments from people put you in a sad place. They just simply DONT understand. Not their fault. I think it frightens them to talk about that word! On a lighter note, all the very best for your future & when you think you can't get through it, maybe give this conversation a thought....we are STILL here. Regards Donna from Queensland Australia
Early on I found out there is a huge difference between cancer treatment and cancer care. My team at Mayo Clinic is a care team. Yes, I get the treatment but that's just expected. I spend my day there with people who have come to know me, who care about me, who know all the non-medical details of my life. I routinely spend an hour of each appointment with my oncologist talking about life and maybe five minutes of that is about my Stage IV NSCLC. We will get three or four chemo nurses at a time in the treatment room carrying on a dozen conversations. At one appointment another patient passed by in the corridor outside my room and said "I want to be in here next time." My treatment at Mayo has been anything but routine.
@bpknitter53 It’s so true. Self-care comes in so many ways and there are days that one thing works and another day that doesn’t work as well. I agree that getting suggestions from others is helpful and increases the possibility that we will find something for ourselves.
We’ve adopted a new strategy I read about recently in The NY Times. At least I have. When I intuit that my partner needs support (no surprise that I might be better at this than he is!) I can say “Do you want to be helped, heard or hugged?”. I told him about this and he liked the idea. Let’s see if we can use it in actual practice.
@naturegirl5 - thank you for your kind words. I forget that I find a calm in just walking and listening to music - some makes me smile - other songs make me feel it's OK to cry (not sure why I feel that makes it OK to cry, but somehow it does). I need to do that more often when the emotions get overwhelming. Learning what self-care looks like gets challenging and finding what fits the moment can be trial and error - but the more suggestions we get from others the greater our chances of something that works for us for that instance.
@bpknitter53. I hear you! While I’m not taking care of an older parent (both died well before my cancer diagnosis) the emotional aftermath has been a rollercoaster. My initial diagnosis of endometrial cancer was in 2019 right after I retired. Good timing, right? Fortunately it was caught early and it was staged 1a following a hysterectomy. During a cancer surveillance follow-up in late 2021 a little polyp-like growth was found on the vaginal cuff. The polyp was sent to pathology and it was a recurrence. Within a few weeks I started radiation therapy and had to live away from home for 6 weeks.
My partner believes he provides emotional support because he goes with me to all my appointments at Mayo Clinic which is 450 miles away. I certainly appreciate that. Like your husband, I do need to tell him when I need support like a hug. It’s very difficult for me to ask for emotional support. I don’t expect him to “know” but it’s still hard.
I wasn’t depressed during the radiation therapy or afterwards. But like I have periods of time when I feel very anxious and well, stressed. I lose focus and need to remind myself with a hand over my heart (that’s how I bring self-compassion to myself) that it’s OK if I’m not busy and productive every waking moment. It’s OK to have an off day.
Some of us will continue to re-visit our diagnoses and experiences and wonder, what’s next? Others I know who have had more advanced or agressive cancers are able to let all that go and live their lives with grace.
This post is all over the place and I hope you can figure out what I’m trying to communicate. Life is a blessing and living with cancer is also a blessing because we are alive. Can we remind ourselves of the beauty of nature (that’s where I get the most solace) and live a day at a time? And give ourselves the grace to make mistakes with that?